- Allison Brenner, PhD, MPH, Population Health Research Director, Cascadia Behavioral Healthcare, Portland, OR
- Deepu George, PhD, LMFT, Assistant Professor, The University of Texas Rio Grande Valley School of Medicine, McAllen, TX
- Max Zubatsky, PhD, LMFT, Associate Professor, Saint Louis University, Saint Louis, MO
Individuals with severe and persistent mental illness (SPMI) suffer a disproportionate burden of morbidity and pre-mature mortality. In an effort to better integrate care for individuals with SPMI, Cascadia Behavioral Healthcare is working to dismantle barriers inherent in traditional primary or behavioral healthcare through implementation of reverse integration and data-driven population health management. In this research we used data from behavioral and physical health electronic health records (EHR), stored in two different systems; ED utilization data collected through the Emergency Department Information Exchange (EDIE); and additional claims-based data to create a comprehensive picture of population health. Results will aid in identifying populations at highest risk for ED utilization and will inform practices of coordinating care and implementing innovative system-level changes to reduce costs and improve health.
- Describe the primary contributors to ED utilization for individuals with severe and persistent mental illness.
- Use population health approaches to identify barriers and assets to accessing healthcare and achieving health and well-being, and to determine populations on which to focus intervention efforts.
- Understand how fully integrated healthcare can improve health outcomes, reduce ED utilization and improve access to healthcare.
- Vigo, D., Thornicroft, G., & Atun, R. (2016). Estimating the true global burden of mental illness. The Lancet Psychiatry, 3(2), 171-178.
- Ross, L. E., Vigod, S., Wishart, J., Waese, M., Spence, J. D., Oliver, J., ... & Shields, R. (2015). Barriers and facilitators to primary care for people with mental health and/or substance use issues: a qualitative study. BMC family practice, 16(1), 135.
- Erlangsen, A., Andersen, P. K., Toender, A., Laursen, T. M., Nordentoft, M., & Canudas-Romo, V. (2017). Cause-specific life-years lost in people with mental disorders: a nationwide, register-based cohort study. The Lancet Psychiatry, 4(12), 937-945.
- Multnomah County Health Department, 2014 Report Card on Racial and Ethnic Disparities. https://multco.us/file/37530/download
- Cohen, D., Huynh, T., Sebold, A., Harvey, J., Neudorf, C., & Brown, A. (2014). The population health approach: a qualitative study of conceptual and operational definitions for leaders in Canadian healthcare. SAGE open medicine, 2, 2050312114522618.